| NPI | 1063853885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG N STEVENS Owner/President 801-573-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 159834-1205) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |